Healthcare Provider Details

I. General information

NPI: 1396874533
Provider Name (Legal Business Name): NATALIE PATTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NATALIE ARTERBURN

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 01/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 S JACKSON ST
LOUISVILLE KY
40202-1675
US

IV. Provider business mailing address

10101 LINN STATION RD STE 600
LOUISVILLE KY
40223-3818
US

V. Phone/Fax

Practice location:
  • Phone: 502-562-3120
  • Fax:
Mailing address:
  • Phone: 502-589-8600
  • Fax: 502-589-8771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number253015
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: